RxAdvantage^™

RxAdvantage programs are designed to help clients maintain the long-term affordability and sustainability of their health benefit plans, provide plan members with enhanced access to important drug therapies, and offer support to help plan members achieve the best possible health outcomes.

• RxAdvantage Manufacturer Savings Program for Remicade^®

  This program is designed to reduce drug costs and limit financial exposure for plan sponsors, while offering plan members the benefit of the manufacturer-sponsored patient support program, which provides administrative, educational, and financial support.

• RxAdvantage Utilization Management Program

  This program takes a unique approach to cost containment.

  Plan sponsors benefit by providing a pre-specified amount of drug coverage based on the “reasonable and customary” dose. In the interest of plan members, this program includes a manufacturer-sponsored patient support program, which provides members with education, treatment, reimbursement and financial support. Together, ClaimSecure and the manufacturer work together to ensure patients have access to their medicine when they need it, while providing value to sponsors.

• RxAdvantage Specialty Support Program

  Leveraging a national specialty drug network of pharmacies and case management services, this program offers both plan sponsors and plan members several benefits. Sponsors get to save an estimated 5% on specialty drug costs. Meanwhile, members get maximum value on specialty drug therapies thanks to negotiated lower prescription drug costs, better drug adherence, and compliance. Plus, they’re assigned a dedicated case manager and get access to nurses and other healthcare providers who are there to help them better manage their condition.